Adverse Event Reporting
| VAERS ID | 1339171 |
|---|---|
| Gender | Female |
| Age | |
| StateCode | FR |
| Pharmaceutical Company | PFIZER\BIONTECH |
| Lot Number | EJ6134 |
| Number of vaccinations | |
| Vaccinated | 2021-01-30 |
| Onset | 2021-02-01 |
| Condition | Died |
Symptoms
- Pyrexia
- SARS-CoV-2 test
- COVID-19
- Drug ineffective
Current Illness
Preexisting Conditions
Medical History/Concurrent Conditions: COVID-19; COVID-19 pneumonia; Dementia; Hypertension
Other Medications
Previous Vaccinations
Allergies
Laboratory Data
Test Date: 20210216; Test Name: COVID-19 PCR test; Test Result: Positive
Write-up
a covid PCR test showed a positive result; Covid positive; fever; This is a spontaneous report from a contactable physician downloaded from the Regulatory Authority.
An 85-year-old female patient received BNT162B2 (COMIRNATY), via intramuscular, administered in Arm Left on 30Jan2021 (Lot Number: EJ6134, expiration date unknown) as 0.
3ML, single dose for prevent Covid-19.
Medical history included dementia, hypertension, covid-19 and covid-19 pneumonia, all from an unknown date and unknown if ongoing.
The patient's concomitant medications were not reported.
The physician concerned the occurrence of Covid-19 infection resulting in death after COMIRNATY injection for active immunization to prevent COVID-19.
On 4-5 days (in Feb2021) after vaccination the patient experienced fever.
On 16Feb2021 a covid PCR test showed a positive result and on 25Feb2021 the patient passed away.
According to the reporter, the patient's physical and mental health was heavily deteriorated already and rapidly progressed in the last few months.
The patient underwent lab tests and procedures which included COVID-19 PCR test: positive on 16Feb2021.
The outcome of the event fever was unknown.
The patient died on 15Feb2021 due to Covid-19 infection.
It was unknown if autopsy was done.
Sender Comment: The causal relationship is unlikely between the suspected drug and the adverse event as the patient had Covid-19 and her state was already heavily deteriorated.
The case is considered serious because the outcome was fatal.
Further information is not expected.
No follow-up attempts possible.
No further information expected.
; Reported Cause(s) of Death: COVID-19; COVID-19